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SARS-CoV-2 感染率和维持性透析患者死亡率在德尔塔和奥密克戎变异株早期流行期间-美国,2021 年 6 月 30 日-2022 年 9 月 27 日。

SARS-CoV-2 Infection and Death Rates Among Maintenance Dialysis Patients During Delta and Early Omicron Waves - United States, June 30, 2021-September 27, 2022.

出版信息

MMWR Morb Mortal Wkly Rep. 2023 Aug 11;72(32):871-876. doi: 10.15585/mmwr.mm7232a4.

Abstract

Persons receiving maintenance dialysis are at increased risk for SARS-CoV-2 infection and its severe outcomes, including death. However, rates of SARS-CoV-2 infection and COVID-19-related deaths in this population are not well described. Since November 2020, CDC's National Healthcare Safety Network (NHSN) has collected weekly data monitoring incidence of SARS-CoV-2 infections (defined as a positive SARS-CoV-2 test result) and COVID-19-related deaths (defined as the death of a patient who had not fully recovered from a SARS-CoV-2 infection) among maintenance dialysis patients. This analysis used NHSN dialysis facility COVID-19 data reported during June 30, 2021-September 27, 2022, to describe rates of SARS-CoV-2 infection and COVID-19-related death among maintenance dialysis patients. The overall infection rate was 30.47 per 10,000 patient-weeks (39.64 among unvaccinated patients and 27.24 among patients who had completed a primary COVID-19 vaccination series). The overall death rate was 1.74 per 10,000 patient-weeks. Implementing recommended infection control measures in dialysis facilities and ensuring patients and staff members are up to date with recommended COVID-19 vaccination is critical to limiting COVID-19-associated morbidity and mortality.

摘要

接受维持性透析的患者感染 SARS-CoV-2 及其严重后果(包括死亡)的风险增加。然而,该人群中 SARS-CoV-2 感染和与 COVID-19 相关的死亡的发生率尚未得到很好的描述。自 2020 年 11 月以来,CDC 的国家医疗保健安全网络(NHSN)每周收集数据,监测维持性透析患者中 SARS-CoV-2 感染(定义为 SARS-CoV-2 检测结果阳性)和与 COVID-19 相关的死亡(定义为 SARS-CoV-2 感染未完全康复的患者死亡)的发生率。本分析使用 NHSN 透析机构 COVID-19 数据,报告时间为 2021 年 6 月 30 日至 2022 年 9 月 27 日,描述维持性透析患者中 SARS-CoV-2 感染和与 COVID-19 相关的死亡的发生率。总体感染率为每 10000 个患者周 30.47 例(未接种疫苗患者为 39.64 例,完成 COVID-19 初级疫苗接种系列的患者为 27.24 例)。总体死亡率为每 10000 个患者周 1.74 例。在透析机构实施推荐的感染控制措施,并确保患者和工作人员及时接种推荐的 COVID-19 疫苗,对于限制 COVID-19 相关发病率和死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df71/10415006/09f66d8a5d93/mm7232a4-F1.jpg

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